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Section 1c: FHIR®
Section 3: Implementation Guides

HL7 FHIR® IG: SMART Web Messaging Implementation Guide, Release 1

DESCRIPTION

SMART Web Messaging enables tight UI integration between EHRs and embedded SMART apps via HTML5’s Web Messaging. SMART Web Messaging allows applications to push unsigned orders, note snippets, risk scores, or UI suggestions directly to the clinician’s EHR session. Built on the browser’s javascript window.postMessage function, SMART Web Messaging is a simple, native API for health apps embedded within the user’s workflow.

ALTERNATIVE NAMES

HL7 FHIR® IG: SMART Web Messaging Implementation Guide, Release 1 may also go by the following names or acronyms:

"HL7 FHIR® IG: SMART Web Messaging, R1", smart web messaging,

BENEFITS

SMART Web Messaging addresses some key use cases that SMART and CDS Hooks don’t address:

  • Communicating a decision made by the clinician within the SMART app
  • Saving app-specific session or state identifiers to the EHR for later retrieval (continuing sessions).
  • Interacting with the EHR’s FHIR server through this messaging channel (enabling applications that cannot access the FHIR server directly, e.g. those hosted on the internet)

DEVELOPMENT BACKGROUND

  • Placing an order
  • Annotating a procedure with an appropriateness score or a radiation count
  • Transmitting a textual note snippet
  • Suggesting a diagnosis or a condition to the patient’s chart
  • Interrogating the orders scratchpad / shopping cart, currently only known within the ordering provider’s CPOE session.
  • Allowing an app to communicate UX-relevant results back to the EHR, for example, automatic navigation to a native EHR activity, or sending an “I’m done” signal.

RELATED DOCUMENTS

HL7 FHIR® IG: SMART Web Messaging Implementation Guide, Release 1

STU DOCUMENTS

HL7 FHIR® IG: SMART Web Messaging Implementation Guide, Release 1 See the standard at http://hl7.org/fhir/uv/smart-web-messaging/STU1. (Submit Feedback on STU)

TOPICS

  • Cardiology
  • Care Provision
  • Laboratory
  • Medical Records
  • Nutrition
  • Patient Administration
  • Patient Care
  • Patient Referral
  • Pharmacy
  • Public Health
  • Scheduling
  • Security and Privacy

BALLOT TYPE

  • STU

STATUS DATE

2022-05-06

RESPONSIBLE WORK GROUP

FHIR Infrastructure

PRODUCT TYPE

  • Implementation Guide

STAKEHOLDERS

  • EHR, PHR Vendors
  • Health Care IT Vendors
  • Healthcare Institutions
  • Medical Imaging Service Providers

FAMILY

  • FHIR

CURRENT STATE

  • Active

REALM

  • Universal